AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 3; Ask the Editor

Rotator Cuff Repair, Tenodesis, Decompression, Acromioplasty and Coracoplasty

A female patient diagnosed with tear of the subscapularis tendon, biceps tendonitis, subacromial and subcoracoid impingement, underwent arthroscopic rotator cuff repair of the subscapularis tendon, open subpectoral biceps tenodesis with PEEK tenodesis screw, and arthroscopic subacromial and subcoracoid decompressions with acromioplasty and coracoplasty. When rotator cuff repair is performed, are the subacromial and subcoracoid decompression with acromioplasty and coracoplasty coded separately? If the tenodesis is coded separately, how is the PEEK tenodesis screw captured? ...

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